Provider Demographics
NPI:1275911836
Name:FRANCISCAN ST. MARGARET HEALTH
Entity Type:Organization
Organization Name:FRANCISCAN ST. MARGARET HEALTH
Other - Org Name:CATHERINE MCAULEY CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-933-2018
Mailing Address - Street 1:5514 HOHMAN AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46320-1933
Mailing Address - Country:US
Mailing Address - Phone:219-933-2018
Mailing Address - Fax:219-933-2647
Practice Address - Street 1:5514 HOHMAN AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-1933
Practice Address - Country:US
Practice Address - Phone:219-933-2018
Practice Address - Fax:219-933-2647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01031470A261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center